To explore the essence of DOR kidney-yang deficiency syndrome and the intervention mechanism of Yangluanfang decoction based on follicular fluid metabolomics

注册号:

Registration number:

ITMCTR2000004109

最近更新日期:

Date of Last Refreshed on:

2020-09-12

注册时间:

Date of Registration:

2020-09-12

注册号状态:

Registration Status:

预注册

Prospective registration

注册题目:

基于卵泡液代谢组学探讨DOR肾阳虚证本质及养卵方干预机制

Public title:

To explore the essence of DOR kidney-yang deficiency syndrome and the intervention mechanism of Yangluanfang decoction based on follicular fluid metabolomics

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于卵泡液代谢组学探讨DOR肾阳虚证本质及温肾养卵方干预机制

Scientific title:

To explore the essence of DOR kidney-yang deficiency syndrome and the intervention mechanism of Wenshenyangluanfang decoction based on follicular fluid metabolomics

研究课题的正式科学名称简写:

Scientific title acronym:

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

ChiCTR2000038182 ; ChiMCTR2000004109

申请注册联系人:

梁程程

研究负责人:

章晓乐

Applicant:

Chengcheng Liang

Study leader:

Xiaole Zhang

申请注册联系人电话:

Applicant telephone:

+86 18816515785

研究负责人电话:

Study leader's telephone:

+86 13512188016

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

952096176@qq.com

研究负责人电子邮件:

Study leader's E-mail:

zhangxiaole515@163.com

申请单位网址(自愿提供):

Study leader's website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website
(voluntary supply):

申请注册联系人通讯地址:

上海市浦东新区蔡伦路1200号

研究负责人通讯地址:

上海市黄浦区普安路185号

Applicant address:

1200 Cailun Road, Pudong New Area, Shanghai, China

Study leader's address:

185 Pu'an Road, Huangpu District, Shanghai, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

上海中医药大学附属曙光医院

Applicant's institution:

Shuguang Hospital affiliated to Shanghai University of Traditional Chinese Medicine

是否获伦理委员会批准:

Approved by ethic committee:

伦理委员会批件文号:

Approved No. of ethic committee:

2020-833-40

伦理委员会批件附件:

Approved file of Ethical Committee:

View

批准本研究的伦理委员会名称:

上海中医药大学附属曙光医院伦理委员会

Name of the ethic committee:

IRB of Shuguang Hospital affiliated to Shanghai University of TCM

伦理委员会批准日期:

Date of approved by ethic committee:

2020/7/29 0:00:00

伦理委员会联系人:

耿希

Contact Name of the ethic committee:

Xi Geng

伦理委员会联系地址:

上海市浦东新区张衡路528号

Contact Address of the ethic committee:

528 Zhangheng Road, Pudong New Area, Shanghai, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

上海中医药大学附属曙光医院

Primary sponsor:

Shuguang Hospital affiliated to Shanghai University of Traditional Chinese Medicine

研究实施负责(组长)单位地址:

上海市浦东新区张衡路528号

Primary sponsor's address:

528 Zhangheng Road, Pudong New Area, Shanghai, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海中医药大学附属曙光医院

具体地址:

浦东新区张衡路528号

Institution
hospital:

Shuguang Hospital affiliated to Shanghai University of Traditional Chinese Medicine

Address:

528 Zhangheng Road, Pudong New Area

经费或物资来源:

国家重点研发计划“中医药现代化研究”重点专项—“肾阳虚证”辨证标准的系统研究

Source(s) of funding:

A systematic study on the syndrome differentiation standard of kidney-yang deficiency syndrome

研究疾病:

卵巢储备功能下降

研究疾病代码:

Target disease:

Decreased ovarian reserve

Target disease code:

研究类型:

Study type:

干预性研究

Interventional study

研究设计:

Study design:

随机平行对照

randomized controlled trial(parallel group design)

研究所处阶段:

Study phase:

探索性研究/预试验

Pilot clinical trial

研究目的:

(1)运用代谢组学技术对肾阳虚型DOR不孕患者卵泡液进行代谢组学分析,寻找肾阳虚型DOR相关性不孕的内源性生物标志物,从卵泡液代谢组学水平上探讨DOR肾阳虚中医“证”的物质基础。 (2)基于卵泡液代谢组学阐述温肾养卵方改善肾阳虚型DOR的作用机制,为中医药改善DOR不孕患者的卵巢储备功能提供理论依据。

Objectives of Study:

(1) The follicular fluid of the DOR infertility patients with kidney-yang deficiency was metabolized by metabometrics, and the endogenous biomarkers for the DOR associated infertility of kidney-Yang deficiency were searched. The material basis of the TCM "syndrome" of the DOR in kidney-Yang deficiency was discussed from the metabolomic level of follicular fluid. (2) Based on follicular fluid metabolomics, the mechanism of Wenshenyangluanfang decoction to improve the Kidney-yang deficiency type DOR was expounded, providing a theoretical basis for TCM to improve the ovarian reserve function of the DOR infertility patients.

药物成份或治疗方案详述:

Description for medicine or protocol of treatment in detail:

纳入标准:

观察组入选标准:①年龄为20~40岁的已婚女性患者,有生育要求者;②符合卵巢储备功能下降性不孕症诊断标准,并且中医辨证属于肾阳虚型者;③男方精子检查未见明显异常;④自愿参加本研究并签署知情同意书,能积极配合复诊,完成临床观察者。 对照组入选标准:①年龄为20~40岁的已婚女性患者,有生育要求者;②符合输卵管阻塞性不孕症的诊断标准;③符合卵巢储备功能正常的标准;④男方精子检查未见明显异常;⑤自愿参加本研究并签署知情同意书,能积极配合复诊,完成临床观察者。

Inclusion criteria

The inclusion criteria of the observation group were as follows: 1. Married female patients aged 20 ~ 40 years old, Those with fertility requirements; 2. Meet the diagnostic criteria for infertility due to decreased ovarian reserve function, and TCM syndrome differentiation belongs to kidney-yang deficiency; 3. No obvious abnormality was found in the sperm examination of the male; 4. Volunteer to participate in this study and sign the informed consent, can actively cooperate with the follow-up, complete the clinical observer. The inclusion criteria of the control group were as follows: 1. Married female patients aged 20 ~ 40 years old, those with fertility requirements; 2. In line with the diagnostic criteria of tubal obstructive infertility; 3. In line with the standard of normal ovarian reserve function; 4. No obvious abnormalities were found in the sperm examination of the man; 5. Voluntarily participate in this study and sign the informed consent, actively cooperate with the follow-up visits and complete the clinical observation.

排除标准:

①既往有精神病者及过敏体质者; ②既往有各种恶性肿瘤史,心脑血管系统疾病史,肝肾功能异常,或造血系统等严重原发性疾病者; ③男方生殖功能异常者; ④女方合并多囊卵巢综合征、免疫因素、子宫内膜异位症等其它不孕因素者; ⑤生殖系统存在器质性病变或先天性生理缺陷、畸形者; ⑥长期应用外源性激素治疗患者。

Exclusion criteria:

1. Those with previous mental illness or allergic constitution; 2. Previous history of various malignant tumors, cardiovascular and cerebrovascular disease, abnormal liver and kidney function, or hematopoietic system and other serious primary diseases; 3. Men with abnormal reproductive functions; 4. Women with polycystic ovary syndrome, immune factors, endometriosis and other infertility factors; 5. Organic lesions or congenital physiological defects or malformations of the reproductive system; 6. Long-term application of exogenous hormone therapy for patients.

研究实施时间:

Study execute time:

From 2020-08-01

To      2021-08-01

征募观察对象时间:

Recruiting time:

From 2020-10-01

To      2021-07-31

干预措施:

Interventions:

组别:

试验组

样本量:

30

Group:

experimental group

Sample size:

干预措施:

口服温肾养卵方

干预措施代码:

Intervention:

Oral Wenshenyangluanfang square

Intervention code:

组别:

对照组

样本量:

30

Group:

control group

Sample size:

干预措施:

口服安慰剂

干预措施代码:

Intervention:

Oral placebo

Intervention code:

样本总量 Total sample size : 60

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海中医药大学附属曙光医院

单位级别:

三级甲等

Institution/hospital:

Shuguang Hospital affiliated to Shanghai University of Traditional Chinese Medicine

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市第一妇婴保健院

单位级别:

三级甲等

Institution/hospital:

Shanghai First Maternal and Infant Health Care Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

血清雌激素

指标类型:

主要指标

Outcome:

Serum estradiol

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血清卵泡刺激素

指标类型:

主要指标

Outcome:

Serum follicle-stimulating hormone

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

优卵率

指标类型:

次要指标

Outcome:

Grade III oocyte rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血清抗苗勒氏管激素

指标类型:

主要指标

Outcome:

Serum anti-Mullerian hormone

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

优胚率

指标类型:

次要指标

Outcome:

High quality embryo rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

窦卵泡数

指标类型:

主要指标

Outcome:

Sinus follicle count

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血清孕酮

指标类型:

主要指标

Outcome:

Serum progesterone

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肾阳虚证候积分

指标类型:

次要指标

Outcome:

Syndrome integral of kidney-Yang deficiency

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

受精率

指标类型:

次要指标

Outcome:

Fertilization rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

获卵数

指标类型:

次要指标

Outcome:

The oocyte count was obtained

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血清促黄体生成素

指标类型:

主要指标

Outcome:

Serum luteinizing hormone

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

卵泡液

组织:

卵巢

Sample Name:

Follicular fluid

Tissue:

ovary

人体标本去向

使用后销毁

说明

代谢组学分析

Fate of sample 

Destruction after use

Note:

Metabolomics analysis

标本中文名:

血液

组织:

静脉

Sample Name:

blood

Tissue:

intravenous

人体标本去向

使用后销毁

说明

代谢组学分析

Fate of sample 

Destruction after use

Note:

Metabolomics analysis

征募研究对象情况:

正在进行

Recruiting

年龄范围:

最小
Min age years
最大
Max age years

Recruiting status:

Participant age:

性别:

Gender:

女性

Female

随机方法(请说明由何人用什么方法产生随机序列):

由主要研究者及统计师应用SAS9.2软件的PROC PLAN过程函数产生随机序列。

Randomization Procedure (please state who generates the random number sequence and by what method):

The main researcher and statistician used PROC PLAN procedure function of SAS9.2 to generate random sequences.

盲法:

双盲

Blinding:

Double blind

是否共享原始数据:

IPD sharing:

Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

发表论文

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Published papers

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

病例记录表及电子采集表

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Case record sheet and electronic collection sheet

数据管理委员会:

Data Managemen Committee:

Yes

研究计划书或研究结果报告发表信息
(杂志名称、期、卷、页,时间;或网址):

Publication information of the protocol/research results report
(name of the journal, volume, issue, pages, time; or website):

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